# PETER S BIRNBAUM DO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295815280
- **Authorized official:** PETER S BIRNBAUM DO (PHYSICIAN)
- **Authorized official phone:** (714) 491-3670

## Contact information

- **Practice address:** 1211 W LA PALMA AVE STE 506, ANAHEIM, CA 92801-2812
- **Practice address phone:** (714) 491-3670
- **Practice address fax:** (714) 533-6760
- **Mailing address:** 1211 W LA PALMA AVE STE 506, ANAHEIM, CA 92801-2812
- **Mailing address phone:** (714) 491-3670
- **Mailing address fax:** (714) 533-6760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 02/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00AX71330 | — | CA |